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Overview

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The Practice: New and Practices: [name] pages are comprised of fourteen tabs:

General Practice Information Tab
Affiliated Facilities Tab
Affiliated Providers Tab
Fee Schedules Tab
Group Numbers Tab
Statements Tab
Pre-Collections Tab
Guarantor Collections Tab
Insurance Collections Tab
External Collection Agencies Tab
Refunds Tab
Outcomes Tab
Miscellaneous Tab
Provider Groups Tab

The Fee Schedules tab allows page allows you to access and manage billing and expected fee schedules for the practice. There are two sections to the page: Billing Fee Schedules and Expected Fee Schedulesthree available types of fee schedules: Billing, Expected, and Compensation.

The billing fee schedule is used for non-contractual fees and contains the fee structure for the following procedure types: anesthesia, medicine services, pathology and laboratory, radiology services, surgery, and pain management, including professional modifier (26) and technical modifier (TC). This fee schedule contains the fees for services, conversion factors, modifiers, and relative value units (RVU).

The expected fee schedule contains the expected payment for the following procedure types: anesthesia, medicine services, pathology and laboratory, radiology services, surgery, and pain management, including professional modifier (26) and technical modifier (TC). This is often used for contractual fees and contains the fee structure for calculating the allowed amount expected for services rendered to an insured of a specific payer. This fee schedule contains the flat rates and fees that are not going to be calculated by the billing fee schedule.

The compensation fee schedule . Typically, the expected is used for practices that compensate providers per procedure. This fee schedule contains only anesthesia procedures that will be charged a flat fee or percentagethe rates and fees that are going to be calculated based on compensation.

When creating or updating a fee schedule, the information displays in four six tabs:

See the Configuring Fee Schedules topic for additional details.

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title	How to Get Here?

To open the Fee Schedules tab for new practicetab:

From the Home Page:	From the Menus:	Via Shortcut Keys:
Click Fee Schedules from the Admin list.	Click Practices from the Admin list Click Create Click the Fee Schedules tab	Open the Admin menu and select Practices Click Create Click the Fee Schedules tab	From the Practices page, press [Alt] + [C] Click the Fee Schedules tab

To open the Fee Schedules tab for existing practice:

From the Home Page:

From the Menus:

Via Shortcut Keys:

Click Practices from the Admin list
Select the practice to be modified
Click Update*
Click the Fee Schedules tab

*Alternate Navigation: Double-click the practice from the list

Open the Admin menu and select Practices
Select the practice to be modified
Click Update*
Click the Fee Schedules tab

*Alternate Navigation: Double-click the practice from the list

From the Practices page, select the practice to be modified
Press [Alt] + [U]
Click the Fee Schedules tab

(Click an image below to enlarge.)

Practice: New Page / Fee Schedules Tab

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Practice: [name] Page / Fee Schedules Tab

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Fee Schedules.

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Field Definitions

Field

Type

Required

Description

Type

Display Only

(pulled from created/updated Fee Schedules)

Yes

The categorization, or type, of fee schedule. Options include: Billing, Expected, and Compensation.

Name

Display Only

(pulled from created/updated Fee Schedules)

Field Definitions

Field	Type	Required	Description
Fee Schedule Name	Free Text	Yes	The name of the fee schedule as established in the fee schedule configuration.
Description Free Text	Display Only (pulled from created/updated Fee Schedules)	No	The description of the fee schedule as established in the fee schedule configuration.
Effective	Display Only Date ( mm/dd/yyyy pulled from created/updated Fee Schedules)	Yes	The date the fee schedule became effective as the date by which fees are calculated for procedures.. The fee schedule is used to calculate fees for procedures with a date of service from the Effective date onward.
Expiration	Display Only (pulled from created/updated Fee Schedules	Expiration	Date (mm/dd/yyyy )	No	The date the fee schedule is no longer used for calculating fees for procedures. The fee schedule is used to calculate fees for procedures with a date of service prior to, and including, the Expiration date.
Status	Display Only (pulled from created/updated Fee Schedules)	Yes	The current active status of the fee schedule. The values are Active or Archived. The status displays as Archived if the Archive checkbox is selected on the Fee Schedule / General Fee Schedule Information tab.

Button Descriptions

Button	Shortcut Keys	Description	Step-By-Step Guides
Search	[Alt] + [S]	Search for a fee schedule(s) in the list.	Click Search. The Search Criteria window opens. Image Added Enter the search criteria. Click OK.
Create
Billing Fee Schedules Section
Create	[Alt] + [RC]	Add a new fee schedule to the table.	Configuring Fee Schedules
UpdateUpdate	[Alt] + [U]	Modify the selected fee schedule configuration.	Updating Fee Schedules
Delete Delete	[Alt] + [D]	Removes the fee schedule from the master list.	Deleting Fee Schedules
Clone Clone	[Alt] + [LN]	Creates a copy of a fee schedule.	Cloning Fee Schedules
Expected Fee Schedules Section
Recalculate	Create	[Alt] + [TR]	Add a new fee schedule to the tableUpdate expected amount on all applicable lines.	Configuring Recalculating Fee Schedules
Update View Attachment	[Alt] + [PV]	Modify the selected fee schedule configuration.	Updating Fee Schedules
Delete	[Alt] + [E]	Removes the fee schedule from the master list.	Deleting Fee Schedules
Clone	[Alt] + [N]	Creates a copy of a fee schedule.	Cloning Fee Schedules
Recompute	[Alt] + [M]		Recomputing Fee Schedules

Opens the Image Viewer page to display or add an attachment to the fee schedule.

Select the fee schedule.
Click View Attachment. The Image Viewer page opens.

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If the fee schedule has any attachments, open the Set ID drop down list and select the attachment to view. If no attachments currently exist, a new attachment can be added to the fee schedule record by scanning or importing the image and attaching it.